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Region 7 Liver Transplant Program and OPOs

Region 7 Liver Transplant Program and OPOs. Goals of Meeting Today. Review Regional Data Regional Agreement on Recovering for Research Allocation to Regional Liver/Kidney Candidates Potential of hosting quarterly conference calls. Regional Data . Era 1 – 6 months proceeding Share 35

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Region 7 Liver Transplant Program and OPOs

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  1. Region 7 Liver Transplant Program and OPOs

  2. Goals of Meeting Today • Review Regional Data • Regional Agreement on Recovering for Research • Allocation to Regional Liver/Kidney Candidates • Potential of hosting quarterly conference calls

  3. Regional Data • Era 1 – 6 months proceeding Share 35 • January 19, 2013 to June 17, 2013 • Era 2 – 5 months post Share 35 • June 18, 2013 – November 15, 2013

  4. Transplants by Status/Score

  5. Candidates Added to the Waitlist

  6. M/P 35+ at the Time of Listing

  7. Region 7 Liver Kidney Listing

  8. Type of Score at Transplant

  9. Summary • Increased number of 35+ transplants • Expected outcome of Share 35 • No increase in the number of M/P 35+ candidates added to the waitlist • 2.3% increase in the number of M/P 15-34+ listings • Decrease in the number of candidates listed for L/K in Era 2 • Decrease in the number of Exception Scores at Transplants for M/P 15 -34 • 67 transplants to 57 transplants • Increase in the number of Exception Scores at Transplant for M/P 35+ • 2 transplant to 5 transplants

  10. Regional Liver Allocation – Share 35 • 6/18/13 – 12/31/13

  11. Ongoing Data Review What data would the region like to receive on a routine basis?

  12. Recovery of Organs for Research • During the Regional Meeting, attendees agreed that: • It was reasonable for the OPO to request that the recovery team recover research organs • The OPO would inform the team prior to entering the OR of the request • If the recovery team could not recover research organs they would inform the OPO at the time of the request (prior to OR) • Discussion

  13. Liver/Kidney Allocation • Regional allocation agreement • If a Liver candidate has a MELD of 35+ and is also listed for a kidney, the OPO should offer both the liver and kidney to the listing center • This agreement will be reviewed once KAS is implemented and paybacks are no longer part of the system • Implementation of KAS slated for mid December 2014

  14. Quarterly Liver Program Call • Establish a regional liver program and OPO quarterly conference call • Purpose of the call • Review updated data on regional listing, allocation and transplant • Regional After Action Case Review • Review and discuss challenging allocation cases between regional partners • Transplant Centers and OPOs would submit cases through the OPO for addition to the agenda • Develop a standard reporting form for case submission

  15. Liver Acquisition Charges • During the regional meeting, a request was made to develop a summary of each OPOs liver acquisition charge • Each regional OPO will share this data individually with a transplant program upon request

  16. Closing Summary • Developed regional data points for quarterly review • Reviewed guidance on recovering organs for research upon request • Shared regional liver/kidney allocation practices • Discussed the development of a quarterly regional Liver Program and OPO conference call • Provided information on how transplant centers can obtain liver acquisition charges

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